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Jul 11, 2022
07/22
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medicare. nearly 64 million americans are enrolled in medicare, an increasing number of them are choosing medicare advantage plans each year. enrollment in these privately run plans has more than doubled over the last decade. today, nearly 27 million americans are enrolled in the medicare advantage program. federal spending for these plants is about 350 billion dollars annually. it is expected to grow. given the tremendous size and growth of the medicare advantage program, it is important to the american people and also the u.s. congress to see how these plans work. the quality of services that are being delivered to beneficiaries, and the value added to american taxpayers. beneficiaries on medicare advantage plans are entitled to the same house services as those on traditional medicare, but reports by the watchdog agencies represented here today indicate folks are not always receiving that care. a recent report by the hhs office of the inspector general indicated that some beneficiaries on med
medicare. nearly 64 million americans are enrolled in medicare, an increasing number of them are choosing medicare advantage plans each year. enrollment in these privately run plans has more than doubled over the last decade. today, nearly 27 million americans are enrolled in the medicare advantage program. federal spending for these plants is about 350 billion dollars annually. it is expected to grow. given the tremendous size and growth of the medicare advantage program, it is important to...
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Dec 14, 2023
12/23
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they pay for medicare part b the medicare part a. they have projections being pushed out a few years. what lever should congress look at encouraging being performed in the lowest-cost setting while maintaining quality? >> thank you for that question. we share the goal that people should obtain the care they need in the setting that is appropriate for them. we will continue to analyze data as you mentioned i will be happy to continue working with you on this. it >> thank you, i hear from doctors in my district about how rising inflation in red tape is making it harder for them to stay in independent practice. this committee, we heard testimony this spring about consolidation in the healthcare system being one of the driving factors leading to increased healthcare cost, mr. nasty -- mr. massey, i understand that again inflation but doctors do not. can you talk about why that is? >> thank you for the question. that is correct, there are differences between how medicare sets and updates payments for physician services and how medicare se
they pay for medicare part b the medicare part a. they have projections being pushed out a few years. what lever should congress look at encouraging being performed in the lowest-cost setting while maintaining quality? >> thank you for that question. we share the goal that people should obtain the care they need in the setting that is appropriate for them. we will continue to analyze data as you mentioned i will be happy to continue working with you on this. it >> thank you, i hear...
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51
Dec 4, 2013
12/13
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CSPAN2
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it's called medicare, whether you're in medicare advantage or medicare traditional. second of it's difficult to see the rationale on a national basis for paying private players for more than medicare currently spent on the traditional program. particularly when there's so much concerned with the deficit and debt. medicare is historically -- payments below or equal to what medicare would expect to be in the traditional program for beneficiaries who enroll in the plan. this changed in 2003, and by 2009, payments were considerably higher than medicare would've paid for the same beneficiaries if they were in the traditional program. this cause every beneficiary more in added part b premiums and provide a little incentives for m.a. plans to become more efficient. when i examined the 2009 plan data i found wide variation in m.a. plans cost relative to traditional medicare spending, even controlling for plan levels, plan types and payment levels. that suggest there was room for a lot more efficiency in the program, variable across plants. and the policy changes that were in
it's called medicare, whether you're in medicare advantage or medicare traditional. second of it's difficult to see the rationale on a national basis for paying private players for more than medicare currently spent on the traditional program. particularly when there's so much concerned with the deficit and debt. medicare is historically -- payments below or equal to what medicare would expect to be in the traditional program for beneficiaries who enroll in the plan. this changed in 2003, and...
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Jul 2, 2023
07/23
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its traditional medicare, and it's medicare advantage. when you are in the employer sponsored market and you pick your health benefits, right? you're signing up for a health plan that's either a self-insured health plan or you're purchasing plan product. when you end up in the medicare marketplace, things are a little different. so you turn five, you have developmental stage renal disease, or else you qualify for medicare, you sign up for traditional a-plus plus benefits. right? hospital benefits, and also a physician. then you also have to pick a prescription plan. and then the traditional medicare program has no catastrophic out-of-pocket limit. so you you then pick supplemental coverage. so you've made three choices. the alternative of, of course, is picking medicare advantage where you have one choice. you're getting coverage, you're getting supplement coverage or medigap coverage. you're also 90% of plans include a prescription drug plan. and then you also get supplemental benefits frequently. but two thirds of plans, three quarters
its traditional medicare, and it's medicare advantage. when you are in the employer sponsored market and you pick your health benefits, right? you're signing up for a health plan that's either a self-insured health plan or you're purchasing plan product. when you end up in the medicare marketplace, things are a little different. so you turn five, you have developmental stage renal disease, or else you qualify for medicare, you sign up for traditional a-plus plus benefits. right? hospital...
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Dec 3, 2009
12/09
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CSPAN2
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medicare. unfortunately, that's not the case with the reid bill that we are currently considering. to be clear, the reid bill cuts medicare by $465 billion to fund a new government program. unfortunately, our seniors and the disabled will be the ones who suffer the consequences as a result of these reductions. now, throughout my senate service i have fought to strengthen, preserve, and protect medicare. i think most republicans have. in spite of what my colleagues say on the other side. unless we're blowing money down the drain, they don't think we're doing anything. medicare is already in trouble today. the program faces challenges in the very future. the medicare trust fund will be insolvent in the year 2017 and the program vs over th 37 million in unfunded liability. the reid bill will make this situation much worse. look at the cuts to medicare. hospitals -- $134.7 billion. in this bill! where are they going to get that money? how are we going to keep our hospitals going? hospices -- $7.7 b
medicare. unfortunately, that's not the case with the reid bill that we are currently considering. to be clear, the reid bill cuts medicare by $465 billion to fund a new government program. unfortunately, our seniors and the disabled will be the ones who suffer the consequences as a result of these reductions. now, throughout my senate service i have fought to strengthen, preserve, and protect medicare. i think most republicans have. in spite of what my colleagues say on the other side. unless...
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Jun 29, 2022
06/22
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medicare plays medicare advantage program. this is based on their comprehense health care at any age. 39% of them arenrolled in an advantage plan. medicare parb premium and they y pay a -- they may pay an additional amount. some medicare advantage plans have premium dollars. care andoordination, these plans offer supplemental and fitness benefits in 2022 average medicare enrollment is nearly $2000 extra anally then medicare service cannot access witht providing additional medicare services. care can improve health care f seniors while individually targeted programs such as transportation tprimary care and nursing visits. in 20 advantage. there are now 28 million people enrolled. that means about 45% of all medicare beneficiaries are enrolled in medicare advantage plans. if this trend continues, 51 percent of eligible medicare beneficiaries can be traced to this critical feature to distinguish the program. medicare patients are able to enjoy a wide range of supplemental benefits in exchange for utilization a neork control. the
medicare plays medicare advantage program. this is based on their comprehense health care at any age. 39% of them arenrolled in an advantage plan. medicare parb premium and they y pay a -- they may pay an additional amount. some medicare advantage plans have premium dollars. care andoordination, these plans offer supplemental and fitness benefits in 2022 average medicare enrollment is nearly $2000 extra anally then medicare service cannot access witht providing additional medicare services....
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Nov 20, 2021
11/21
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medicare benefits. people could also get their drug benefits through what is called the medicare advantage plan. part d is the part of the program that delivers the outpatient prescription drug benefit, the drug that you get when you go to a pharmacy. part d is paid for by premiums and general revenue. people are paying for their part d benefit through their premium and taxpayers are paying for part of the program. host: who determines the cost? who sets the prices? guest: the secretary of hhs ultimately puts out there premiums and deductibles each year. the secretary is relying on actuaries that work for the centers for medicare and medicaid services to follow a formula and make some decisions about what premiums should be took cover the beneficiary portion of medicare spending. host: do people have a choice of whether to use these medicare, all of these different parts, or are there options or is this an opt in plan where you can use it if you want to, but you don't have to? guest: they are not many a
medicare benefits. people could also get their drug benefits through what is called the medicare advantage plan. part d is the part of the program that delivers the outpatient prescription drug benefit, the drug that you get when you go to a pharmacy. part d is paid for by premiums and general revenue. people are paying for their part d benefit through their premium and taxpayers are paying for part of the program. host: who determines the cost? who sets the prices? guest: the secretary of hhs...
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Dec 5, 2009
12/09
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CSPAN2
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i think he understands these medicare savings go into medicare. we're extending the solvency of the medicare trust fund. i see my friend from south dakota. i think he understands. he's sitting there and grinning at me now. i think he understands those savings go back into medicare and extend the solvency of the trust funds. let's make that very clear. second, we're using some of the money to reduce part-b premiums. that helps seniors. if part-b premiums are reduced that helps seniors. by how much? $30 million over ten years. that will reduce seniors' part-b premiums. we're helping seniors, giving more dollars to seniors in this legislation. in addition, there are additional benefits for seniors in this legislation. we're starting to close the doughnut hole. that's really something seniors talk about in prescription drug benefits. they want that doughnut hole closed. after that, we are -- other benefits here, new preventive benefits under medicare. mammograms, preventive screening, colonoscopies, annual wellness visits, all new benefits. so i want
i think he understands these medicare savings go into medicare. we're extending the solvency of the medicare trust fund. i see my friend from south dakota. i think he understands. he's sitting there and grinning at me now. i think he understands those savings go back into medicare and extend the solvency of the trust funds. let's make that very clear. second, we're using some of the money to reduce part-b premiums. that helps seniors. if part-b premiums are reduced that helps seniors. by how...
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Dec 4, 2009
12/09
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CSPAN2
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eye 101
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saved medicare. doesn't it seem like an enormous step backwards when we talk about reform, when really what we're doing is cutting a program that serves people so much in need and yet saves money in our medicare program. home health agencies in nebraska have been very successful in doing exactly what we want, keeping people at home and out of the hospital and nursing home. of special interest are patients with congestive heart failure. one nebraska woman turned to home health after facing a big stack of hospital bills for rehab. since then, she has been able to remain at home safely at a fraction of the cost. this home health agency can see a person for 60 days at a cost of about $2,500. 60 days. one hospital admission, by comparison, would cost medicare conservatively $20,000 to treat a patient with chronic health failure -- or chronic heart failure. so, again, home health care costs a fraction of hospital care, about ten times less. there are so many stories from patients who are alive today who lo
saved medicare. doesn't it seem like an enormous step backwards when we talk about reform, when really what we're doing is cutting a program that serves people so much in need and yet saves money in our medicare program. home health agencies in nebraska have been very successful in doing exactly what we want, keeping people at home and out of the hospital and nursing home. of special interest are patients with congestive heart failure. one nebraska woman turned to home health after facing a big...
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Jul 13, 2011
07/11
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CSPAN2
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my mom is on medicare, your dad is on medicare. the altar to organize their lives around this program as it is currently designed. let's leave that alone. our point is don't change that for them. ipab does. we are saying don't do that. but in order to cash flow the commitment before recognized their lives around which we should, we have to fix it for the next generation and we have a difference of opinion on how to do that. >> thank you mr. chairman and madame secretary. i want to pick up on a couple lines of questioning the chairman began especially as they relate to cost shifting because that is what the affordable care act addresses in many ways. when you have tens of millions of americans with no health insurance whatsoever, and they show up at the hospital as their primary care provider guess who pays, tax payers pay and consumers pay through cost shifting. we've heard from the chairman of the fact that medicare actually gets a better deal in terms of the amount of payments to providers and that is reflected in the fact that m
my mom is on medicare, your dad is on medicare. the altar to organize their lives around this program as it is currently designed. let's leave that alone. our point is don't change that for them. ipab does. we are saying don't do that. but in order to cash flow the commitment before recognized their lives around which we should, we have to fix it for the next generation and we have a difference of opinion on how to do that. >> thank you mr. chairman and madame secretary. i want to pick up...
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Oct 17, 2018
10/18
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CSPAN2
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eye 62
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we face everyday in medicare. we face tremendous barriers prevent innovation to medicare beneficiary. it literally takes an act of congress to add new types of benefits for the medicare population. for example, and we are grateful that congress acted to open up till help and if it's in medicare advantage. that legislation took years and they won't even see these benefits until 2020. they are available much earlier. we see challenges and the inability for medicare to make changes and adapt new technology , play out time and time again. sometimes we can figure out a way to shoehorn new devices into medicare benefit. you saw the trump administration do this when we clarify policy to ensure access to popular continuous glucose monitors that let people with data on their phones. again, this wasn't easy. it took years and meanwhile what was new technology that can improve their health. there are other devices that we can't find a way to cover. the seniors have to look to congress. not an easy process and our seniors des
we face everyday in medicare. we face tremendous barriers prevent innovation to medicare beneficiary. it literally takes an act of congress to add new types of benefits for the medicare population. for example, and we are grateful that congress acted to open up till help and if it's in medicare advantage. that legislation took years and they won't even see these benefits until 2020. they are available much earlier. we see challenges and the inability for medicare to make changes and adapt new...
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0.0
Oct 20, 2023
10/23
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CSPAN2
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a medicare recipient? they are not receiving anything. we have got a serious work to do relative to the dollars and this. they that money and where were going to have to raise money. these areas can be uncomfortable. the length they look there. i'm the march 23 report earlier this year medpac estimated medicare spend 6% more for medicare enrollees than those remained an original medicare. that translates into this is now what i am pursuing is the saving side. $27 billion. 27 billion in overpayments this year alone. so how -- first what is it taking -- what action is cms taking to reduce the overpayments? how does it recommend reducing the excess payments to the medicare advantage plan? we have got to look for saving money before we go out to consider where we raise other dollars. so it actually works for medicare recipients. >> thank you for the question are absolute rights. our analysis shows on average medicare pays more for medicare advantage relative to service. we have a number of recommendations to i
a medicare recipient? they are not receiving anything. we have got a serious work to do relative to the dollars and this. they that money and where were going to have to raise money. these areas can be uncomfortable. the length they look there. i'm the march 23 report earlier this year medpac estimated medicare spend 6% more for medicare enrollees than those remained an original medicare. that translates into this is now what i am pursuing is the saving side. $27 billion. 27 billion in...
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124
Dec 21, 2009
12/09
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CSPAN2
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all medicare plans, whether traditional medicare or private, must, must offer all required medicare benefits. now, here's the kicker. if, in fact, there are some cuts made in medicare advantage, then these private plans, these private companies that are making $12 billion is their slush fund. maybe rather than cutting the benefits, maybe they will decide to cut their c.e.o. salaries from $12 million a year to to $10 million a year. maybe they will decide instead of three or four corporate jets, they only need one corporate jet. maybe they'll start reducing some of the profits that they're making, huge profits that they're making off of the taxpayers and off of medicare payees right now. so, again, if you cut the medicare advantage programs, i guess my friend on the other side say well, number one, they can continue to pay their c.e.o.'s $12 million a year salaries, they can continue the corporate jets, they can continue to have all their fancy buildings, they can continue to have all these outrageous profits, but they're going to have to cut medicare. that's what the other side is saying. wh
all medicare plans, whether traditional medicare or private, must, must offer all required medicare benefits. now, here's the kicker. if, in fact, there are some cuts made in medicare advantage, then these private plans, these private companies that are making $12 billion is their slush fund. maybe rather than cutting the benefits, maybe they will decide to cut their c.e.o. salaries from $12 million a year to to $10 million a year. maybe they will decide instead of three or four corporate jets,...
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0.0
Aug 25, 2023
08/23
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CSPAN2
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medicare. medicare advantage is a defined contribution system and what that means is at the government makes a contribution of although half of thee beneficiary to the beneficiary's chosen plan. given current trends in medicare advantage send be the dominant form of medicare coverage. the question before the house and before the nation is a very big one. that is how do we provide high-quality medical care to a huge and rapidly growing older population at a cost that is affordable not only to seniors but also to american taxpayers? in our new book "modernizing medicare" from johns hopkins university press, a dozen of our colleagues in the health policy community have provided very specific answers tot that question. three of them are with us here today. brian miller is a practicing physician and assistant professor of medicine at johns hopkins university and a fellow at the american enterprise institute. john goodman is present at the goodman institute. dr. goodman is a prominent health care eco
medicare. medicare advantage is a defined contribution system and what that means is at the government makes a contribution of although half of thee beneficiary to the beneficiary's chosen plan. given current trends in medicare advantage send be the dominant form of medicare coverage. the question before the house and before the nation is a very big one. that is how do we provide high-quality medical care to a huge and rapidly growing older population at a cost that is affordable not only to...
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132
Mar 21, 2012
03/12
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CSPAN3
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eye 132
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we bankrupt medicare. so at the end of the day, the difference is this -- medicare in order to save medicare, in order to keep its guarantee, for current and future seniors, in order to prevent a debt crisis from ruining our country and giving our kids a diminished future must be reformed. the president's health care law, which is in law, does reform medicare. it says 15 political appointees will decide how that line is going to meet. they will decide how to cut medicare to providers which will lead to denied access for seniors. we are saying, let the seniors decide. empower 50 million sooniers to make choices. more to the point, force the insurers to compete against each other for business as a beneficiary and also give the choice of traditional medicare system, if she so wants to choose to do so. we think that's far more rational, far more humane and more importantly, we do not want to subject her medicare benefits to the discretion and control of 15 political appointees. we want to put her in power and
we bankrupt medicare. so at the end of the day, the difference is this -- medicare in order to save medicare, in order to keep its guarantee, for current and future seniors, in order to prevent a debt crisis from ruining our country and giving our kids a diminished future must be reformed. the president's health care law, which is in law, does reform medicare. it says 15 political appointees will decide how that line is going to meet. they will decide how to cut medicare to providers which will...
51
51
Oct 16, 2018
10/18
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CSPAN2
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eye 51
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so let's start talking about two critical medicare programs, medicare advantage and the medicare preparation drug benefits part d. we have taken steps to strengthen medicare advantage, which are highly popular private plans that many in this audience offer. 37% of medicare beneficiaries now participate in medicare advantage up from just 15% just two decades ago. and as open enrollment gets underway this year, we're projecting an all-time record enrollment of 22.6 million beneficiaries for 2019. and we're excited to see this growth in ma enrollment, projected increase of 11.5% just this year. medicare advantage represents value for beneficiaries and taxpayers. cms provides a budget for plans and plan structure, competitive benefit packages within this c ca ca capitated structure and they compete on the basis of quality. they're attracting more and more of the medicare population. medicare advantage plans everybody 0 provide supplemental benefits beyond what the traditional program offers like dental and vision and these plans are often available at a lower cost than what fee for service benef
so let's start talking about two critical medicare programs, medicare advantage and the medicare preparation drug benefits part d. we have taken steps to strengthen medicare advantage, which are highly popular private plans that many in this audience offer. 37% of medicare beneficiaries now participate in medicare advantage up from just 15% just two decades ago. and as open enrollment gets underway this year, we're projecting an all-time record enrollment of 22.6 million beneficiaries for 2019....
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0.0
Aug 30, 2022
08/22
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CSPAN
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about half of new medicare enrollees are enrolled in medicare part c. we need to move in that direction and maintain employer-based health insurance to the extent those plans are willing to take in people who are not employees. gm has a plan. they would be offering a medicare part c plan like everybody else to their employees. but if i don't work for gm, i should be able to join it. that is part of what would be a feature of the system. that is what we need. highly competitive. if you look at france, germany, switzerland, japan, israel, they have a version of medicare part c for all at play. they are getting better health outcomes for 12% of gdp. we are getting terrible health care outcomes for 18% of gdp, and we are going broke in the process. host: gerrit in virginia, go ahead. caller: glad to have supporters of medicaid and medicare on the show. i want to making comments. -- i want to make a comment. i think president truman should have done all he could to pass whole medicare and not just for adults 65 and over. i have medicare and it works. i have
about half of new medicare enrollees are enrolled in medicare part c. we need to move in that direction and maintain employer-based health insurance to the extent those plans are willing to take in people who are not employees. gm has a plan. they would be offering a medicare part c plan like everybody else to their employees. but if i don't work for gm, i should be able to join it. that is part of what would be a feature of the system. that is what we need. highly competitive. if you look at...
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0.0
Jan 22, 2023
01/23
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CSPAN
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we know more than half of medicare beneficiaries are offering a medicare advantage plan, medicare part c. you have a choice to stay traditional, go and buy your own supplemental coverage. going to medicare part c. you should know if you go into medicare advantage, you can change plans every year. it also go back to traditional medicare but if you go back from medicare advantage, you might not be able to by supplemental coverage. that depends on the state you live in. some states require it some people can get caught in medicare advantage because they cannot afford the co-pay, deductibles of traditional medicare. host: julia rovner's kaiser health news chief correspondent covering health care policies for years. she wrote a book health care policies in politics a nz a review. of europe was the follow-up on united states versus other country -- a viewer it was the follow-up believe -- on united states versus other countries. guest: we do have the most expensive health care system in the world. mostly the government does not limit things like drug prices at least under the medicare popula
we know more than half of medicare beneficiaries are offering a medicare advantage plan, medicare part c. you have a choice to stay traditional, go and buy your own supplemental coverage. going to medicare part c. you should know if you go into medicare advantage, you can change plans every year. it also go back to traditional medicare but if you go back from medicare advantage, you might not be able to by supplemental coverage. that depends on the state you live in. some states require it some...
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208
Jun 4, 2011
06/11
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FOXNEWS
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eye 208
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medicare program. that was the private plan -- part "d" prescription drug program, which by the way was enacted without paying for it and is going to be a big liability we have to deal with -- one second. >> every time that's said, there was a democratic plan that cost more -- [overlapping dialogue] >> but the point is here, we are talking about this without the other aspects of the budget. for example, the revenue piece, trying to shut down the corporate loopholes because what their budget says is let's squeeze medicare beneficiaries rather than closing the loopholes and using the revenues i. those are two of his charges. >> the lead choice in competition, where it has worked everywhere else in the american economy and health care, helps people stretch their health care dollar farther than a government monopoly with a board of bureaucrats making the decisions, inflicting price controls. the other thing is, he's right, there is a lot of general revenue money going into medicare. and the law says if mor
medicare program. that was the private plan -- part "d" prescription drug program, which by the way was enacted without paying for it and is going to be a big liability we have to deal with -- one second. >> every time that's said, there was a democratic plan that cost more -- [overlapping dialogue] >> but the point is here, we are talking about this without the other aspects of the budget. for example, the revenue piece, trying to shut down the corporate loopholes because...
108
108
Nov 20, 2009
11/09
by
CSPAN2
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eye 108
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my dad is on medicare. we're going to protect medicare. republican and democrat, we're going to do that. but as the gentleman pointed out, it goes broke in the year 2017 and we certainly don't need to be taking from medicare to pay for a new entitlement. medicaid, as has been pointed out, many doctors will not take medicaid payments any more because it's broke and it doesn't reimburse at -- at a market rate. and so we see in my home state of mississippi, 60% of the doctors will not take medicaid, and yet there's some people in this building, there's some people in this country within the sound of my voice who believe that somehow a huge $2.5 trillion takeover of one-sixth of our economy can work and will not be like the census, like freddie and fannie, like the post office and the highway trust fund and will not be broke. it is -- it comes down to a difference in philosophy. but certainly we ought to all agree that savings that we find in medicare ought to be used to shore up medicare and make sure it's there for -- for people like my and
my dad is on medicare. we're going to protect medicare. republican and democrat, we're going to do that. but as the gentleman pointed out, it goes broke in the year 2017 and we certainly don't need to be taking from medicare to pay for a new entitlement. medicaid, as has been pointed out, many doctors will not take medicaid payments any more because it's broke and it doesn't reimburse at -- at a market rate. and so we see in my home state of mississippi, 60% of the doctors will not take...
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130
Jun 3, 2011
06/11
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FOXNEWS
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medicare. we will talk with each party's medicare point man in the house. and the president's budget director. first, some background on why the medicare program is in trouble. and why finding a solution has been so illusive. here is chief washington correspondent jim angle. >> how are you? >> reporter: there is one inescapable fact about medicare, it promised tens and trillions in benefits capt pay for. >> unsustainable is the world. we have to slow the growth. >> both president obama and congressman paul ryan would do that but in different ways. the president cut medicare by some $500 billion in the new healthcare law. >> the reduction in spending that we saw in the affordable care act are a slowdown in growth in payments to providers. >> that theoretically lowers cost but even supporters acknowledge some risk in paying less. >> they can only diverge so much without endangering access for beneficialiaries. or getting providers to say, to private insurers you have to make up the difference. >> reporter: which would increase cost for everyone else and make
medicare. we will talk with each party's medicare point man in the house. and the president's budget director. first, some background on why the medicare program is in trouble. and why finding a solution has been so illusive. here is chief washington correspondent jim angle. >> how are you? >> reporter: there is one inescapable fact about medicare, it promised tens and trillions in benefits capt pay for. >> unsustainable is the world. we have to slow the growth. >> both...
3,461
3.5K
Nov 29, 2015
11/15
by
WNYW
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a humana medicare advantage plan is a different kind of medicare plan. it's not a medicare supplement plan where you may have to purchase a drug plan separately. this plan delivers the 3 things you care most about; prescription drug coverage, doctor visits and hospital stays, plus potential cost savings on your plan contracts directly with the federal government to provide this coverage. so humana can offer affordable monthly plan premiums, and in some areas, you'll pay no monthly plan premium. now, let's take just a moment to see how a humana medicare advantage plan compares to a medicare supplement plan and to original medicare. this bar represents original medicare. as you can see, it covers hospital stays and doctor office visits when you're sick. keep in mind, you have to pay a deductible for each hospital stay and a deductible applies to doctor visits. next, let's look at medicare supplement plans. as you can see, they cover the same things as medicare alone, but they also cover your medicare deductibles and co-insurance. medicare supplements cover
a humana medicare advantage plan is a different kind of medicare plan. it's not a medicare supplement plan where you may have to purchase a drug plan separately. this plan delivers the 3 things you care most about; prescription drug coverage, doctor visits and hospital stays, plus potential cost savings on your plan contracts directly with the federal government to provide this coverage. so humana can offer affordable monthly plan premiums, and in some areas, you'll pay no monthly plan premium....
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105
Dec 3, 2009
12/09
by
CSPAN2
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medicare. the -- 8 tax on this bill and -- attacks on this bill and my amendment has nothing to do with those facts. the sad part is there are ideas on every side of this debate worth considering. i think we should be debating those ideas rather than claiming something that's not true about this bill. these washington tactics of trying to ship health care reform back to some committee to language is exactly why nothing ever gets done around here. the almost unbelievable part of this is the opponents of my amendment say that the health care bill hurts seniors. yet the bill and the amendment is supported by the aarp, alliance for retired americans, center for medicare rights, and the national committee to preserve social security and medicare. what are the opponents of my amendment actually saying that the aarp and other senior advocates don't know what they're doing, mr. president? they know what they're doing and they also know what's in the bill. the aarp has seniors' best interest in mind and
medicare. the -- 8 tax on this bill and -- attacks on this bill and my amendment has nothing to do with those facts. the sad part is there are ideas on every side of this debate worth considering. i think we should be debating those ideas rather than claiming something that's not true about this bill. these washington tactics of trying to ship health care reform back to some committee to language is exactly why nothing ever gets done around here. the almost unbelievable part of this is the...
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Dec 5, 2013
12/13
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medicare. the affordable care act willed decreased rebates given to medicare dennis plans. as is two and half hours. -- this is two and a half hours. [captions copyright national cable satellite corp. 2013] [captioning performed by national captioning institute] >> if you will take your seats, the subcommittee will come to order. the chair will recognize himself toward opening statement. program,are advantage an alternative to the original program, provides health care coverage to medicare that if a share easter private health plans offered through organizations under contract with the centers for medicare and medicaid services, cms. plans may offer additional benefits not provided under the care ffs, such as reduced cost- sharing for vision and dental coverage. they also generally have a ander rate of satisfaction, approximately 28% of medicare beneficiaries have chosen to participate in medicare dennis. the affordable care act has noted in july 20 4, 2012, congressional budget office cbo bill
medicare. the affordable care act willed decreased rebates given to medicare dennis plans. as is two and half hours. -- this is two and a half hours. [captions copyright national cable satellite corp. 2013] [captioning performed by national captioning institute] >> if you will take your seats, the subcommittee will come to order. the chair will recognize himself toward opening statement. program,are advantage an alternative to the original program, provides health care coverage to...
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Jun 6, 2022
06/22
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medicare financing is not just a medicare issue. hr reform could exacerbate problems and -- ugly programs that actually predict that the elderly will only be better off, i think the least likely sonora for something good happen is a reform that only ties to address hospital -- by itself. my contact information is below. >> much appreciated. all --paul, stte. --you are next. paul: eugene said that his comments were on the 37,000 foot level. i will bring things closer to earth. the trustees report focuses on financing medicare -- you must not use -- lose sight of medicare part five strength and accomplish -- accomplishments as well. physically in holding down costs. in a coverage area, next to medicare, seniors are the one group in the population with universal health coverage. the uninsured rate of people 65 and older is 1% of the population compared to 10% for those in the younger age bracket, 45-64. medicare is also scoring well in the cost area, namely, it has a performed private health insurance and holding down the growth desper
medicare financing is not just a medicare issue. hr reform could exacerbate problems and -- ugly programs that actually predict that the elderly will only be better off, i think the least likely sonora for something good happen is a reform that only ties to address hospital -- by itself. my contact information is below. >> much appreciated. all --paul, stte. --you are next. paul: eugene said that his comments were on the 37,000 foot level. i will bring things closer to earth. the trustees...
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Aug 26, 2023
08/23
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medicare modernization act. a few years later congress with the support of president obama schedule act called obamacare. medicare advantage works better than the health insurance exchanges. can you tell us why that's true. p >> they are similar on paper. that's why 50% are in the itexchanges. they makea a half million declaration per year. medicare advantage is the only place where a doctor discovers a change in medical condition and forward that to insurer where this is medicare and get a higher premium. that's why in medicare advantage you havee plans that specialize in diabetes and other illnesses. also what attracts people. this is the only place this happens. there is no plan inth the country. they had ethyl hell care costs. there is no commercial insurer. this was in the obamacare market. they are trying to run away from it. in regular medicare there are 10,000 things. not one of the 10,000 has it objective. the jobob is to make the patient healthier. over in the medicare advantage by contrast they make p
medicare modernization act. a few years later congress with the support of president obama schedule act called obamacare. medicare advantage works better than the health insurance exchanges. can you tell us why that's true. p >> they are similar on paper. that's why 50% are in the itexchanges. they makea a half million declaration per year. medicare advantage is the only place where a doctor discovers a change in medical condition and forward that to insurer where this is medicare and get...
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Dec 14, 2023
12/23
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a medicare recipient. they are not receiving anything. we have got some serious work to do relative to the dollars in this. where we can save money and where we are going to have to raise money. both of those areas can be uncomfortable, depending on the lens that they look through. in the march 2023 report, earlier this year, medpac estimated that medicare spends 6% more for medicare enrollees than if those that remained enrolled in original medicare. that translates into -- this is the saving side. $27 billion. $27 billion in overpayments this year alone. so, doctor seshamani and mr. masi, what is -- what action is cms taking to reduce these overpayments? and mr. masi, how does medpac suggest reducing the overpayments? we have got to look for saving money before we go out to consider where we raise other dollars so that medicare actually works for medicare recipients. >> you are absolutely right. on average medicare pays more for medicare advantage relative to fee for service. we have a number of recommen
a medicare recipient. they are not receiving anything. we have got some serious work to do relative to the dollars in this. where we can save money and where we are going to have to raise money. both of those areas can be uncomfortable, depending on the lens that they look through. in the march 2023 report, earlier this year, medpac estimated that medicare spends 6% more for medicare enrollees than if those that remained enrolled in original medicare. that translates into -- this is the saving...
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Aug 19, 2014
08/14
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medicare. >> what about the portion for those with disabilities? >> in 1972, it was determined people with long-term disabilities, generally awaiting period once you are on social security and disability there is an exclusion for lou gehrig's disease or kidney dialysis for a short period, generally once you determine if you are under 65 you are fully disabled and gone medicare and 8 million people, not yet 65 who are disabled and that medicare benefits. obviously it recovered the same level as a senior. >> host: you said medicare was an afterthought during the debate in 60, 65, about creating medicare. why do you say that and what did you say when they formed medicaid? >> at the time that medicare was passed medicare was the big debate and medicare is in my opinion kind of a sloppily thrown together health insurance plan. it was a compromise at the time to make it look somewhat like state blue cross plans a you had medicare part a and part d which doesn't look like a modern insurance program fo
medicare. >> what about the portion for those with disabilities? >> in 1972, it was determined people with long-term disabilities, generally awaiting period once you are on social security and disability there is an exclusion for lou gehrig's disease or kidney dialysis for a short period, generally once you determine if you are under 65 you are fully disabled and gone medicare and 8 million people, not yet 65 who are disabled and that medicare benefits. obviously it recovered the...
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Dec 4, 2009
12/09
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medicare money for medicare. medicare funds should be used to fix medicare's problems, such as this flawed payment formula that keeps doctors from taking seniors. taking hundreds of billions of dollars out of a medicare program now will only guarantee that it will be much harder to permanently fix the doctor payment issue in the future. i can understand why the a.m.a. continues to support -- i cannot understand why the a.m.a. continues to support this terrible deal for doctors. if you can't see a doctor, your benefits, your guaranteed benefits have been cut. apparently, the members of the a.m.a. don't like the deal either. at a recent convention, up to 40% of the current membership of the a.m.a. voted to reject this deal. i know that's not a majority, but most associations survive by consensus agreements. that means that almost all of their membership agrees with the tack that they're taking. not just slightly more than half. now their membership is less than 20% of all doctors. it's a dwindling association. let'
medicare money for medicare. medicare funds should be used to fix medicare's problems, such as this flawed payment formula that keeps doctors from taking seniors. taking hundreds of billions of dollars out of a medicare program now will only guarantee that it will be much harder to permanently fix the doctor payment issue in the future. i can understand why the a.m.a. continues to support -- i cannot understand why the a.m.a. continues to support this terrible deal for doctors. if you can't see...